Establishment of nursing quality evaluation index of awake prone position ventilation

LIU Pengting; ZHANG Xue

doi:10.16766/j.cnki.issn.1674-4152.003569

Volume 22 Issue 6

Jun. 2024

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Article Navigation > Chinese Journal of General Practice > 2024 > 22(6): 1073-1076

LIU Pengting, ZHANG Xue. Establishment of nursing quality evaluation index of awake prone position ventilation[J]. Chinese Journal of General Practice, 2024, 22(6): 1073-1076. doi: 10.16766/j.cnki.issn.1674-4152.003569

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LIU Pengting, ZHANG Xue. Establishment of nursing quality evaluation index of awake prone position ventilation[J]. Chinese Journal of General Practice, 2024, 22(6): 1073-1076. doi: 10.16766/j.cnki.issn.1674-4152.003569

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Establishment of nursing quality evaluation index of awake prone position ventilation

doi: 10.16766/j.cnki.issn.1674-4152.003569

LIU Pengting¹
, ZHANG Xue^{2
,
,}

1.
Department of Hematology, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical University, Tongji Shanxi Hospital, Taiyuan, Shanxi 030032, China

Funds:

2023124

Received Date: 2023-05-12
Available Online: 2024-07-22

Abstract

Abstract

Objective To construct a scientific and feasible nursing quality evaluation index for prone ventilation in awake patients, and to provide a comprehensive, standardized and quantifiable theoretical framework for evaluating the nursing quality of prone ventilation in awake patients. Methods Guided by Donabedian's "structure-process -result" three-dimensional quality structure model, the research group conducted literature analysis and semi-structured interview to gradually formulate the evaluation indexes for nursing quality during prone ventilation in awake patients. Objective sampling was adopted from November 2022 to January 2023. Two rounds of Delphi expert consultation were conducted on 25 nursing and public health experts with respiratory, acute and critical care experience from 5 tertiary hospitals in Shanxi, Shaanxi and Henan. After statistical processing, the evaluation indexes of nursing quality of prone ventilation for awake patients were finally established according to the importance scores and coefficient of variation of the indexes. Results The recovery rates for both rounds of expert correspondence consultation questionnaires were 100%. The expert authority coefficient was 0.960, and the Kendall harmony coefficient were 0.136 and 0.160 (P < 0.01). The final evaluation index of prone ventilation nursing quality for conscious patients was composed of 3 primary indexes, 9 secondary indexes and 51 tertiary indexes. Conclusion The evaluation index of prone ventilation nursing quality for awake patients established in this study is highly reliable, scientific and practical. The weight of the index is set reasonably to provide a theoretical reference for nursing managers to evaluate the nursing quality of clinical nurses implementing prone ventilation for awake patients. It also provide operational guidance and decision-making basis for comprehensively improving the nursing quality of clinical nurses implementing prone ventilation for awake patients.
- Awake prone ventilation,
- Quality of care,
- Delphi method,
- Three-dimensional structure,
- Evaluation index

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References(24)

References

[1]	漆敏, 倪忠, 唐永江, 等. 清醒俯卧位通气策略在低氧性呼吸衰竭患者中的应用进展[J]. 中国呼吸与危重监护杂志, 2021, 20(3): 215-218. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGHW202103020.htm QI M, NI Z, TANG Y J, et al. Application of awake prone position ventilation strategy in patients with hypoxic respiratory failure[J]. Chinese Journal of Respiratory and Critical Care Medicine, 2021, 20(3): 215-218. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGHW202103020.htm
[2]	CAPUTO N D, STARYER R J, LEVITAN R. Early self-proning in awake, non-intubated patients in the emergency department: a single ED's experience during the COVID-19 pandemic[J]. Acad Emerg Med, 2020, 27(5): 375-378. doi: 10.1111/acem.13994
[3]	MOORE Z, PATTON D, AVSAR P, et al. Prevention of pressure ulcers among individuals cared for in the prone position: lessons for the COVID-19 emergency[J]. J Wound Care, 2020, 29(6): 312-320. doi: 10.12968/jowc.2020.29.6.312
[4]	郝培育, 李秋萍. ICU护士俯卧位通气知信行现状及影响因素分析[J]. 护理学杂志, 2022, 37(20): 84-86. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ202220022.htm HAO Z Y, LI Q P. Knowledge, attitude, practice towards prone position ventilation among ICU nurses[J]. Journal of Nursing Science, 2022, 37(20): 84-86. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ202220022.htm
[5]	FAN E, DEL SORBO L, GOLIGHER E C, et al. An official American thoracic society/European society of intensive care medicine/society of critical care medicine clinical practice guideline: mechanical ventilation in adult patients with acute respiratory distress syndrome[J]. Am J Respir Crit Care Med, 2017, 195(9): 1253-1263. doi: 10.1164/rccm.201703-0548ST
[6]	岳伟岗, 张莹, 蒋由飞, 等. 俯卧位通气对急性呼吸窘迫综合征患者的影响[J]. 中国呼吸与危重监护杂志, 2019, 18(6): 532-536. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGHW201906007.htm YUE W G, ZHANG Y, JIANG Y F, et al. Effect of prone position ventilation on patients with acute respiratory distress syndrome[J]. Chinese Journal of Respiratory and Critical Care Medicine, 2019, 18(6): 532-536. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGHW201906007.htm
[7]	COHEN D, WASSERSTRUM Y, SEGEV A, et al. Beneficial effect of awake prone position in hypoxaemic patients with COVID-19: case reports and literature review[J]. Intern Med J, 2020, 50(8): 997-1000. doi: 10.1111/imj.14926
[8]	DING L, WANG L, MA W, et al. Efficacy and safety of early prone positioning combined with HFNC or NIV in moderate to severe ARDS: a multi-center prospective cohort study[J]. Crit Care, 2020, 24(1): 28. doi: 10.1186/s13054-020-2738-5
[9]	FRAT J P, THILLE A W, MERCAT A, et al. High-flow oxygen through nasal cannula in acute hypoxemic respiratory failure[J]. N Engl J Med, 2015, 372(23): 2185-2196. doi: 10.1056/NEJMoa1503326
[10]	陈道南, 田锐, 王瑞兰. 清醒俯卧位通气和新型冠状病毒肺炎[J]. 中国中西医结合急救杂志, 2022, 29(1): 104-106. doi: 10.3969/j.issn.1008-9691.2022.01.024 CHEN D N, TIAN R, WANG R L. Awake prone position ventilation and novel coronavirus pneumonia[J]. Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care, 2022, 29(1): 104-106. doi: 10.3969/j.issn.1008-9691.2022.01.024
[11]	BROCHARD L, SLUTSKY A, PESENTI A. Mechanical ventilation to minimize progression of lung injury in acute respiratory failure[J]. Am J Respir Crit Care Med, 2017, 195(4): 438-442. doi: 10.1164/rccm.201605-1081CP
[12]	柳舟, 程利, 张亮, 等. 俯卧位通气对新型冠状病毒肺炎患者肺功能的改善作用[J]. 武汉大学学报(医学版), 2023, 44(9): 1046-1052. https://www.cnki.com.cn/Article/CJFDTOTAL-HBYK202309002.htm LIU Z, CHENG L, ZHANG L, et al. Improvement of lung function through prone position ventilation for patients with COVID-19[J]. Medical Journal of Wuhan University, 2023, 44(9): 1046-1052. https://www.cnki.com.cn/Article/CJFDTOTAL-HBYK202309002.htm
[13]	卢慧晴, 高宁, 邹婷婷, 等. 清醒俯卧位对新型冠状病毒肺炎气管插管率影响的meta分析[J]. 现代临床医学, 2022, 48(6): 438-441. https://www.cnki.com.cn/Article/CJFDTOTAL-YYCD202206012.htm LU H Q, GAO N, ZOU T T, et al. Effect of awaking prone position on intubation rate in COVID-19 patients: a meta-analysis[J]. Journal of Modern Clinical Medicine, 2022, 48(6): 438-441. https://www.cnki.com.cn/Article/CJFDTOTAL-YYCD202206012.htm
[14]	SUN Q, QIU H B, HUANG M, et al. Lower mortality of COVID-19 by early recognition and intervention: experience from Jiangsu Province[J]. Ann Intensive Care, 2020, 10(1): 33. doi: 10.1186/s13613-020-00650-2
[15]	岳伟岗, 张莹, 蒋由飞, 等. 俯卧位通气治疗急性呼吸窘迫综合征患者临床不良事件的Meta分析[J]. 解放军护理杂志, 2018, 5(20): 36-41, 73. doi: 10.3969/j.issn.1008-9993.2018.20.007 YUE W G, ZHANG Y, JIANG Y F, et al. Clinical Adverse Events of Prone Position in Ventilated Patients with Acute Respiratory Distress Syndrome : a meta-analysis[J]. Nursing Journal of Chinese People's Liberation Army, 2018, 5(20): 36-41, 73. doi: 10.3969/j.issn.1008-9993.2018.20.007
[16]	王茜, 王洁, 徐贵霞, 等. 护理本科临床实践教学质量评价指标体系的构建[J]. 中华全科医学, 2023, 21(6): 1044-1047, 1052. doi: 10.16766/j.cnki.issn.1674-4152.003045 WANG Q, WANG J, XU G X, et al. Construction of evaluation index system of nursing undergraduate clinical practice teaching quality[J]. Chinese Journal of General Practice, 2023, 21(6): 1044-1047, 1052. doi: 10.16766/j.cnki.issn.1674-4152.003045
[17]	李尊柱, 李真, 刘桂英, 等. 基于患者安全为导向的俯卧位通气护理指标的构建[J]. 中国实用护理杂志, 2020, 36(19): 1451-1456. doi: 10.3760/cma.j.cn211501-20191031-03139 LI Z Z, LI Z, LIU G Y, et al. The construction of nursing index of prone position ventilation based on patient safety[J]. Chinese Journal of Practical Nursing, 2020, 36(19): 1451-1456. doi: 10.3760/cma.j.cn211501-20191031-03139
[18]	于奕, 李暘, 李姗姗, 等. 急性呼吸窘迫综合征患者俯卧位通气护理质量评价指标的构建[J]. 中华护理杂志, 2021, 56(7): 977-982. doi: 10.3761/j.issn.0254-1769.2021.07.003 YU Y, LI Y, LI S S, et al. Construction of the evaluation index of prone position ventilation nursing quality for patients with acute respiratory distress syndrome[J]. Chinese Journal of Nursing, 2021, 56(7): 977-982. doi: 10.3761/j.issn.0254-1769.2021.07.003
[19]	蒋文春, 温贤秀, 顾凤娇. 应用德尔菲法和层次分析法构建血液透析室护理管理质量评价标准体系[J]. 护理学报, 2018, 25(18): 16-21. https://www.cnki.com.cn/Article/CJFDTOTAL-NFHL201818005.htm JIANG W C, WEN X X, GU F J. Construction of Nursing Management Quality Evaluation Standard System in Hemodialysis Room with Delphi Method and Analytic Hierarchy Process[J]. Journal of Nursing, 2018, 25(18): 16-21. https://www.cnki.com.cn/Article/CJFDTOTAL-NFHL201818005.htm
[20]	潘纯, 张伟, 杜斌, 等. 新型冠状病毒肺炎的挽救性治疗: 实施俯卧位通气刻不容缓[J]. 中华内科杂志, 2020, 59(9): 670-672. doi: 10.3760/cma.j.cn112138-20200304-00184 PAN C, ZHANG W, DU B, et al. Prone ventilation for coronavirus disease 2019: an urgent salvage therapy[J]. Chinese Journal of Internal Medicine, 2020, 59(9): 670-672. doi: 10.3760/cma.j.cn112138-20200304-00184
[21]	王志勇, 冯全胜, 于洪志, 等. 清醒俯卧位治疗用于奥密克戎变异株所致普通型新冠肺炎的临床研究[J]. 中华危重病急救医学, 2022, 34(6): 576-580. doi: 10.3760/cma.j.cn121430-20220418-00384 WANG Z Y, FENG Q S, YU H Z, et al. Clinical study of awake prone positioning treatment in patients with common coronavirus disease 2019 caused by Omicron variant[J]. Chinese Critical Care Medicine, 2022, 34(6): 576-580. doi: 10.3760/cma.j.cn121430-20220418-00384
[22]	卫生健康委. 新型冠状病毒肺炎诊疗方案(试行第十版)_国务院部门文件_中国政府网[EB/OL]. (2023-01-06)[2023-05-12]. http://www.gov.cn/zhengce/zhengceku/2023-01/06/content_5735343.htm. NHC. Diagnosis and Treatment Protocol for Novel Coronavirus Pneumonia (Trial version 10)_ Department Document of The State Council_China Government website[EB/OL]. (2023-01-06)[2023-05-12]. http://www.gov.cn/zhengce/zhengceku/2023-01/06/content_5735343.htm.
[23]	王丽娜, 刘云娥, 陈洁, 等. 清醒俯卧位通气研究进展[J]. 护理研究, 2022, 36(23): 4215-4218. doi: 10.12102/j.issn.1009-6493.2022.23.015 WANG L N, LIU Y E, CHEN J, et al. Research progress of awake prone position ventilation[J]. Chinese Nursing Research, 2022, 36(23): 4215-4218. doi: 10.12102/j.issn.1009-6493.2022.23.015
[24]	郎子佳, 王立平. ICU病人俯卧位通气护理敏感性指标体系的构建[J]. 护理研究, 2020, 34(15): 2650-2654. doi: 10.12102/j.issn.1009-6493.2020.15.006 LANG Z J, WANG L P. Construction of index system for nursing sensitivity of prone position ventilation in ICU patients[J]. Chinese Nursing Research, 2020, 34(15): 2650-2654. doi: 10.12102/j.issn.1009-6493.2020.15.006

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Establishment of nursing quality evaluation index of awake prone position ventilation

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